An out-of-control client is verbally abusive and physically aggressive with staff members who are at increased risk for injury. Which intervention is most appropriate?

A. Take a time-out: A time-out is generally used for de-escalating situations in less severe cases and may not be effective if the client is already physically aggressive and a risk to staff.
B. Administer oral medication: Administering oral medication can help to calm the client, but it may not be immediately effective if the client is already aggressive and out of control.
C. Call a family member or friend: Calling a family member or friend may provide emotional support, but it is not a direct intervention to address immediate physical aggression.
D. Apply restraints: When a client is physically aggressive and poses a risk of injury to themselves or others, applying restraints may be necessary to ensure safety. This should be done following proper protocols and as a last resort.

A. Direct self-destructive behavior: Direct self-destructive behavior refers to actions taken with the intent to cause immediate harm or death, such as slashing one's wrists.
B. Indirect self-destructive behavior: Indirect self-destructive behavior refers to actions that can harm oneself over time, such as substance abuse or reckless driving, without the immediate intention to die.
C. Parasuicidal behavior: Parasuicidal behavior involves actions that are intended to cause self-harm but not necessarily result in death, often seen as a cry for help.
D. Maladaptive self-destructive behavior: Maladaptive self-destructive behavior is a broader term that can include a variety of harmful actions, not necessarily with the intention of suicide.